Dr Jennifer Hicks, DPT | |
2777 Jefferson Davis Hwy Ste 109, Stafford, VA 22554-8323 | |
(540) 318-8615 | |
(540) 318-8619 |
Full Name | Dr Jennifer Hicks |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 2777 Jefferson Davis Hwy Ste 109, Stafford, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104354554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305211081 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Hicks, DPT Po Box 791217, Baltimore, MD 21279-1217 Ph: (301) 932-4785 | Dr Jennifer Hicks, DPT 2777 Jefferson Davis Hwy Ste 109, Stafford, VA 22554-8323 Ph: (540) 318-8615 |
Alberto Lee Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 572 Garrisonville Rd, Stafford, VA 22554 Phone: 540-659-6408 Fax: 540-659-6445 | |
Mr. Alan D Billups, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 90 Greenspring Dr, Stafford, VA 22554 Phone: 540-657-7473 Fax: 540-657-7134 | |
Alissa Joy Agnew, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2765 Jefferson Davis Hwy, Suite 203, Stafford, VA 22554 Phone: 540-720-2261 Fax: 540-720-5660 | |
Allison Marie Elegbe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554 Phone: 540-720-2261 | |
Jordan Mckenzie Back, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554 Phone: 540-446-5323 | |
Joshua Cole Waybright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554 Phone: 540-318-8615 Fax: 540-318-8619 | |
Performance Physical Therapy Of Stafford, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2777 Jefferson Davis Hwy, 109, Stafford, VA 22554 Phone: 540-318-8615 Fax: 540-318-8619 |